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State Innovation Model (SIM)

The Office of Health Strategy advances health innovation and strategy through the ongoing work of the State Innovation Model (SIM) program, a Center for Medicare & Medicaid Innovation (CMMI) initiative to support the development and implementation of state-led, multi-payer healthcare payment and service delivery model reforms that will promote healthier people, better care, and smarter spending in participating states.

Our Vision: Establish a whole-person-centered healthcare system that improves community health and eliminates health inequities; ensures superior access, quality, and care experience; empowers individuals to actively participate in their health and health care; and improves affordability by reducing healthcare costs.